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Holly J Freeman

4 papers in the library · 48 citations · publishing 2023-2026

Papers

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Covert brain complexity in the intensive care unit.

Cortex; a journal devoted to the study of the nervous system and behavior August 1, 2026 Matteo Fecchio, David R Schreier, Morgan K Cambareri et al.

Early detection of consciousness in critically ill patients with severe brain injuries can profoundly impact prognostication and clinical care decisions. Advanced multimodal protocols to detect signs of consciousness include standardized behavioral assessments, task-based functional magnetic resonance imaging (fMRI), and task-based electroencephalography (EEG). However, these approaches have...

Reconstructing Covert Consciousness: Neural Decoding as a Novel Consciousness Assessment.

Neurology February 25, 2025 David Fischer, Brian L Edlow, Holly J Freeman et al. 9 citations

Determining the level of consciousness in patients with brain injury-and more fundamentally, establishing what they can experience-is ethically and clinically impactful. Patient behaviors may unreliably reflect their level of consciousness: a subset of unresponsive patients demonstrate covert consciousness by willfully modulating their brain activity to commands through fMRI or EEG. However,...

Multimodal MRI reveals brainstem connections that sustain wakefulness in human consciousness.

Science Translational Medicine May 1, 2024 Brian L Edlow, Mark Olchanyi, Holly J Freeman et al. 39 citations

Consciousness is composed of arousal (i.e., wakefulness) and awareness. Substantial progress has been made in mapping the cortical networks that underlie awareness in the human brain, but knowledge about the subcortical networks that sustain arousal in humans is incomplete. Here, we aimed to map the connectivity of a proposed subcortical arousal network that sustains wakefulness in the human...

Sustaining wakefulness: Brainstem connectivity in human consciousness

bioRxiv Preprint Server July 13, 2023 Brian L Edlow, Mark Olchanyi, Holly J Freeman et al. preprint

Consciousness is comprised of arousal (i.e., wakefulness) and awareness. Substantial progress has been made in mapping the cortical networks that modulate awareness in the human brain, but knowledge about the subcortical networks that sustain arousal is lacking. We integrated data from ex vivo diffusion MRI, immunohistochemistry, and in vivo 7 Tesla functional MRI to map the connectivity of a...